scholarly journals An exploration of multilevel modeling for estimating access to drinking-water and sanitation

2012 ◽  
Vol 11 (1) ◽  
pp. 64-77 ◽  
Author(s):  
Jennyfer Wolf ◽  
Sophie Bonjour ◽  
Annette Prüss-Ustün

Monitoring progress towards the targets for access to safe drinking-water and sanitation under the Millennium Development Goals (MDG) requires reliable estimates and indicators. We analyzed trends and reviewed current indicators used for those targets. We developed continuous time series for 1990 to 2015 for access to improved drinking-water sources and improved sanitation facilities by country using multilevel modeling (MLM). We show that MLM is a reliable and transparent tool with many advantages over alternative approaches to estimate access to facilities. Using current indicators, the MDG target for water would be met, but the target for sanitation missed considerably. The number of people without access to such services is still increasing in certain regions. Striking differences persist between urban and rural areas. Consideration of water quality and different classification of shared sanitation facilities would, however, alter estimates considerably. To achieve improved monitoring we propose: (1) considering the use of MLM as an alternative for estimating access to safe drinking-water and sanitation; (2) completing regular assessments of water quality and supporting the development of national regulatory frameworks as part of capacity development; (3) evaluating health impacts of shared sanitation; (4) using a more equitable presentation of countries' performances in providing improved services.

2010 ◽  
Vol 61 (5) ◽  
pp. 1317-1339 ◽  
Author(s):  
Andrew Ako Ako ◽  
Jun Shimada ◽  
Gloria Eneke Takem Eyong ◽  
Wilson Yetoh Fantong

Cameroon has been fully engaged with the Millennium Development Goals (MDGs) since their inception in 2000. This paper examines the situation of access to potable water and sanitation in Cameroon within the context of the Millennium Development Goals (MDGs), establishes whether Cameroon is on the track of meeting the MDGs in these domains and proposes actions to be taken to bring it closer to these objectives. Based on analyzed data obtained from national surveys, government ministries, national statistical offices, bibliographic research, reports and interviews, it argues that Cameroon will not reach the water and sanitation MGDs. While Cameroon is not yet on track to meet the targets of the MDGs for water and sanitation, it has made notable progress since 1990, much more needs to be done to improve the situation, especially in rural areas. In 2006, 70% of the population had access to safe drinking water and the coverage in urban centres is 88%, significantly better than the 47% in rural areas. However, rapid urbanization has rendered existing infrastructure inadequate with periurban dwellers also lacking access to safe drinking water. Sanitation coverage is also poor. In urban areas only 58% of the population has access to improved sanitation facilities, and the rate in rural areas is 42%. Women and girls shoulder the largest burden in collecting water, 15% of urban and 18% rural populations use improved drinking water sources over 30 minutes away. Cameroon faces the following challenges in reaching the water and sanitation MDGs: poor management and development of the resources, coupled with inadequate political will and commitment for the long term; rapid urbanization; urban and rural poverty and regulation and legislative lapses. The authors propose that: bridging the gap between national water policies and water services; recognizing the role played by Civil Society Organizations (CSOs) in the attainment of MDGs; developing a Council Water Resource Management Policy and Strategy (CWARMPS); organizing an institutional framework for the water and sanitation sector as well as completion and implementation of an Integrated Water Resources Management (IWRM) plan, would bring Cameroon closer to the water and sanitation MDGs.


2020 ◽  
Author(s):  
Alexandra Cassivi ◽  
Elizabeth Tilley ◽  
E.O.D. Waygood ◽  
Caetano Dorea

AbstractBillions of people globally gained access to improved drinking water sources and sanitation in the last decades, following effort towards the Millennium Development Goals. Global progress remains a general indicator as it is unclear if access is equitable across groups of the population. Agenda 2030 calling for “leaving no one behind”, there is a need to focus on the variations of access in different groups of the population, especially in the context of least developed countries including Malawi. We analyzed data from Demographic Health Survey (DHS) and Multiple Indicator Cluster Survey (MICS) to describe emerging trends on progress and inequalities in water supply and sanitation services over a 25-year period (1992 - 2017) and to identify the most vulnerable population in Malawi. Data were disaggregated with geographic and socio-economic characteristics including regions, urban and rural areas, wealth and education level. Analysis of available data revealed progress in access to water and sanitation among all groups of the population. The largest progress is generally observed in the groups that were further behind at the baseline year, which likely reflects good targeting in interventions/improvements to reduce the gap in the population. Overall, results demonstrated that some segments of the population - foremost poorest Southern rural populations - still have limited access to water and are forced to practise open defecation. Finally, we suggest to include standardized indicators that address safely managed drinking water and sanitation services in future surveys and studies to increase accuracy of national estimates.


2014 ◽  
Vol 12 (4) ◽  
pp. 885-895 ◽  
Author(s):  
Marin MacLeod ◽  
Mala Pann ◽  
Ray Cantwell ◽  
Spencer Moore

An estimated 1.6 million people die from diarrheal diseases each year due to lack of access to safe water and sanitation, and persons with physical disabilities face additional barriers. In Cambodia, approximately 5% of the population is disabled, presenting substantial obstacles in accessing these basic services. The purpose of this study was twofold: first, to identify the challenges facing persons with physical disabilities in accessing safe household water and basic hygiene in rural Cambodia; and, second, to use these results to generate policy and practice recommendations for the water and sanitation hygiene sector implementing water treatment system interventions in rural settings. Fifteen field interviews were conducted with persons with physical disabilities. Thematic analysis was used to identify six main themes. The results indicated that environmental barriers to access were greater in the workplace than household settings and those persons with disabilities had greater awareness about safe drinking water compared to basic hygiene. Additionally, lack of physical strength, distance to water, and lack of financial means were noted as common access barriers. The findings support ongoing research and offer insight into the particular challenges facing persons with physical disabilities in rural areas in accessing safe drinking water and basic hygiene.


2020 ◽  
Vol 18 (5) ◽  
pp. 785-797 ◽  
Author(s):  
Alexandra Cassivi ◽  
Elizabeth Tilley ◽  
E. O. D. Waygood ◽  
Caetano Dorea

Abstract Billions of people globally gained access to improved drinking water sources and sanitation in the last decades, following effort towards achieving the Millennium Development Goals. Global progress remains a general indicator as it is unclear if access is equitable across groups of the population. Agenda 2030 calling for `leaving no one behind', there is a need to focus on the variations of access in different groups of the population, especially in the context of low- and middle-income countries including Malawi. We analyzed data from Demographic Health Survey (DHS) and Multiple Indicator Cluster Survey (MICS) to describe emerging trends on progress and inequalities in water supply and sanitation services over a 25-year period (1992–2017), as well as to identify the most vulnerable populations in Malawi. Data were disaggregated with geographic and socio-economic characteristics including regions, urban and rural areas, wealth and education level. Analysis of available data revealed progress in access to water and sanitation among all groups of the population. The largest progress was generally observed in the groups that were further behind at the baseline year, which likely reflects good targeting in interventions/improvements to reduce the gap in the population. Overall, results demonstrated that some segments of the population – foremost poorest Southern rural populations – still have limited access to water and are forced to practise open defecation. Finally, we suggest including standardized indicators that address safely managed drinking water and sanitation services in future surveys and studies to increase the accuracy of national estimates.


Author(s):  
Jambulingam Vasanthakumar ◽  
Bhuvana Gajula ◽  
Shilpa Reddy Ganta

Background: Safe water and adequate sanitation are basic to the health of every person, yet many people throughout the world do not have access to these needs. Access to these basic services is not only a fundamental right, but also a steppingstone to sustainable development of the country. Objective of this study was conducted to measure the proportion of slum households using improved drinking water and sanitation facilities.Methods: Study was conducted among 620 slum households in Belagavi from by interviewing one member from each household using WHO/UNICEF joint monitoring program core questions on drinking water and sanitation for household surveys.Results: All the slum households (100%) used improved drinking water source; piped water in yard or plot (68.22%) being the primary source. 94.35% of households used improved water source for cooking and/or hand washing purpose. 49.03% of households used improved sanitation facilities and 55.97% used unimproved sanitation facilities. Proportion of households with no latrine facilities and practicing open defecation were 13.06%. About 27.69% households had reported diarrheal events in children in the previous month. Type of latrine used by households was found significantly associated with the diarrheal events in children.Conclusions: Utilization of safe drinking water in Belagavi slums has increased when compared to global and national levels but households with piped water supply are still low. Access to improved sanitation facilities is still lacking in many households. Increasing access to basic sanitation at the household level and behavior change awareness programs could help in achieving universal sanitation coverage.


PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0248944
Author(s):  
Shibabaw Tadesse Gemeda ◽  
Emily Springer ◽  
Sirak Robele Gari ◽  
Solomon Melake Birhan ◽  
Hailu Tolasa Bedane

Introduction Sustainable Development Goal (SDG) 6 aims to coordinate international efforts toward “clean water and sanitation.” However, water contaminated with pathogenic bacteria or thermotolerant coliforms (TTC) will not achieve the SDG target of clean water in the lives of people around the world. The aim of this study is to assess the water quality parameters of basic water services in Amhara and Afar regions of Ethiopia as well as the role and importance of local managerial committees in ensuring basic water functionality. Methods This mixed methods research, conducted in January-June 2019, sampled 22 districts from food-insecure areas in the Amhara and Afar regions of Ethiopia. From the 22 districts, which represent nearly one third of all districts in each region, 111 water services classified as “basic” were randomly selected. For each selected water service, research included: water quality sample testing, visual observation of water services, interviews and focus group discussions with the associated water managerial committee members. Descriptive statistics frequency, percent, mean, median, standard deviations, normal tables, cross-tables and graphs are used to present the data. Results Although the international water standard for thermotolerant coliform (TTC) levels is 0 CFU/100ml, in our sample of 111 water services, the maximum TTC counts were 71 CFU/100 ml and the mean was 4 CFU/100 ml. Thermotolerant coliform counts were above the permissible standard values for nearly 40% (n = 111) of the basic water services. TTC was detected in 44 (39.64%) (n = 111) basic water services. Of these, 38 (34.23%) were operationally functional while 6 (5.41%) were not functional. Approximately one third of the basic water services sampled, deemed “functional” by international standards, do not provide potable water due to thermotolerant coliform (TTC) levels. Conclusion Our findings from the Amhara and Afar regions of Ethiopia demonstrate that water quality parameters are not currently considered in classifying basic water services. This suggests that international efforts to address SDG 6 should incorporate water quality as a key parameter to better track international progress toward “clean water and sanitation” efforts. We discuss two potential pathways for stronger inclusion of water quality parameters in international definitions: (1) to mandate water quality within “functional” and “non-functional” definitions or (2) to add a ladder rung titled “safe basic water services” to the international drinking water ladder. Our findings from Ethiopia suggest that additional research should be undertaken in development contexts to assess whether or not “functional” basic water services provide safe drinking water to users.


2021 ◽  
Vol 8 (12) ◽  
pp. 182-188
Author(s):  
N. Divya Lalitha ◽  
Sunayana Manipal ◽  
Prabu. D

Background: National Rural Drinking Water Program (NRDWP) attempts to provide each and every individual a sufficient amount of safe water for drinking, cooking and other essential household needs on a maintainable premise, with a base water quality standard, which ought to be helpfully open consistently and in all circumstances. Aim: The aim of this study was to analyze and unveil the habitations covered by the National Rural Drinking Water Program in different states and union territories of India. Materials and method: Secondary data regarding the total households in each states/ union territory and the households covered by the National Rural Drinking Water Program, Households Having Safe Drinking Water supply in India as per Census 2011 and availability of safe drinking water in households and the source of drinking waters was extracted from the 2018 National Health Profile’s annual publication by the Central Bureau of Health Intelligence (CBHI). Results: In India,43% of the households use tap water and 11% use well water.46.6% of the households have water within the premises, 35.8% of the households have water near the premises and 17.6% have it far away. 81.08% are fully covered habitations under the program and only 3.34% of the habitations in India are quality affected habitations. Conclusion: Although the targets have not been achieved, this program has attempted to provide safe drinking water to many people in different states and union territories in India. Keywords: Rural areas, Habitations, Drinking water, India..


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